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,Chapter One Aseptic Technique, Sterilization, OR Attire, National Time Out and
Hand Hygiene
Multiple Choice
1. Which of the following statements about masks is true?
A. They can be worn for multiple cases.
B. They do not protect the wearer from spraying of blood or body fluids.
C. They have to be worn in unrestricted areas of the OR.
D. They must be worn so that they cover the mouth and the nose.
ANS: D
OBJ: 01-5
DIF: Level 1
2. Which of the following statements is true regarding operating room attire:
A. Caps or hats must cover all hair (including facial hair).
B. Cloth caps or hats can be worn for 3 consecutive days without laundering.
C. Tunic style scrub tops should not be tucked into your scrub pants.
D. Regular eyeglasses meet the standards for protective eyewear.
ANS: A
OBJ: 01-5
DIF: Level 1
3. Unsterile personnel should stand a minimum of ________ inches from the sterile field.
A. 8
B. 12
C. 20
D. 24
ANS: B
OBJ: 01-1
DIF: Level 2
4. Principles of aseptic technique include all of the following except:
A. Keep talking at the field to a minimum.
B. Only sterile (scrubbed) personnel handle sterile items.
C. Create the sterile field as close to the time of surgery as possible.
,D. It is acceptable for circulators to reach over the sterile field to pour liquids into a cup.
ANS: D
OBJ: 01-1
DIF: Level 1
5. All of the following are true about sterile drapes except:
A. They should be made of a low-linting material.
B. Once in place, they should not be moved.
C. Handling should be kept to a minimum.
D. The part of the drape that falls below the level of the tabletop is sterile
ANS: D
OBJ: 01-1
DIF: Level 1
6. Surgical conscience is the:
A. Legal motivation to practice proper aseptic technique
B. Ethical motivation to practice proper aseptic technique
C. Institutional policies governing the practice of proper aseptic technique
D. Financial motivation to practice proper aseptic technique
ANS: B
OBJ: 01-1
DIF: Level 2
7. Asepsis means:
A. Absence of all viruses
B. Absence of all bacteria
C. Absence of all flagella
D. Absence of all microbes
ANS: D
OBJ: 01-1
DIF: Level 2
,8. Which of the following is considered sterile on a sterile gown?
A. The stockinette cuffs
B. The back
C. The front between the waist and mid-chest
D. The entire front of the gown
ANS: C
OBJ: 01-1
DIF: Level 2
9. If scrubbed personnel need to change positions during surgery, they need to move:
A. Back to side
B. Side to side
C. Front to side
D. Back to back
ANS: D.
OBJ: 01-1
DIF: Level 2
10. A _____ inch perimeter around an open peel pack is NOT considered sterile.
A. ½
B. 1
C. 1½
D. 2
ANS: B
OBJ: 01-1
DIF: Level 2
11. Immediate use sterilizers use ___________ to render sterilized instruments.
A. Steam
B. Cold chemicals
C. Radiation
,D. Gas
ANS: A
OBJ: 01-7
DIF: Level 1
12. You may be asked to wear a “sterile space suit” for which type of surgery?
A. Exploratory laparotomy
B. Shoulder arthroscopy
C. Total joint replacement
D. Endoscopic AAA repair
ANS: C
OBJ: 01-1
DIF: Level 1
13. Which of the following is an example of an acceptable patient identifier?
A. Mr. Jones
B. Room 213
C. Robert R. Jones
D. May 20
ANS: C
OBJ: 01-9
DIF: Level 1
14. Who can ask for a “time out” to be done prior to skin incision being made?
A. The circulator only
B. The surgeon only
C. The surgical technologist only
D. Any team member
ANS: D
OBJ: 01-10
DIF: Level 1
15. Gas plasma sterilization uses _________________ gas plasma technology.
,A. Hydrogen peroxide
B. Ethylene oxide
C. Hydrogen sulfide
D. Ethylene sulfide
ANS: A
OBJ: 01-7
DIF: Level 1
16. The most common and cost-effective method used to sterilize stainless steel
instruments is:
A. Chemical sterilization
B. Gas plasma sterilization
C. Steam under pressure
D. Immediate use sterilization
ANS: C
OBJ: 01-7
DIF: Level 1
17. Which item do you open first when you are preparing the operating room for surgery?
A. Instrument pan
B. The large pack
C. The surgeon’s gloves
D. Raytec packages
ANS: B
OBJ: 01-4
DIF: Level 2
18. What should you do if you open an instrument pan and the stripes on the indicator
tape have not turned black?
A. Nothing, it is fine the way it is.
B. Only use the nonpenetrating instruments.
C. Do not pick up the basket inside; change your gloves and ask for a new tray.
D. Check all the instruments for bioburden.
ANS: C
OBJ: 01-08
DIF: Level 1
,19. The main disadvantage to ethylene oxide as a sterilization method is:
A. Smell
B. Irritation to skin
C. Short cycle time
D. Toxicity
ANS: D
OBJ: 01-07
DIF: Level 2
20. Who are the primary users of radiation sterilization?
A. Outpatient surgery centers
B. Medical device manufacturers
C. Hospital operating rooms
D. Cardiac catheterization suites
ANS: B
OBJ: 01-8
DIF: Level 2
True or False
21. Surgical conscience is the legal motivation to practice proper aseptic technique.
ANS: False
Rationale: Surgical conscience is the ethical motivation to practice proper aseptic
technique.
22. There is no such thing as “slightly contaminated” or “almost sterile.” Sterility of an
item is an absolute.
ANS: True
,23. While you are waiting for the case to begin, it is acceptable to fold your arms across
your chest and place your hands in your axillary area.
ANS: False
Rationale: Scrubbed personnel should NOT place their hands in their axillary (armpit)
area. Even though scrubbed personnel are wearing sterile gowns, strike-through
contamination could occur from perspiration.
24. Lead aprons should be folded and stored in piles on the shelves.
ANS: False
Rationale: Lead aprons should be hung up on appropriate hangers when not in use; they
should not be folded or heaped in piles.
25. Lead aprons should be x-rayed at least monthly to check for breaks in the integrity of
the lead.
ANS: False
Rationale: Lead aprons should be x-rayed at least yearly to check for breaks in the
integrity of the lead.
26. Masks are worn to protect the operative area from the airborne contamination that
everyone generates when they breathe, talk, cough, or sneeze.
ANS: True
27. The most common form of cold chemical sterilization used in the OR is peracetic
acid.
ANS: True
28. Prior to the distribution of any fluid onto the sterile field, the type and strength of the
solution as well as the expiration date must be verified by only the person pouring the
solution.
ANS: False
, Rationale: Prior to the distribution of any fluid onto the sterile field, the type and strength
of the solution as well as the expiration date MUST be verified by BOTH the person
pouring the solution and the scrub person.
29. The mayo stand cover is the first thing opened when you are preparing a room for
surgery.
ANS: False
Rationale: The large pack is the first thing opened when you are preparing a room for
surgery.
30. When retrieving a sterile item from a package, the scrub person should reach straight
into the package and pull the item straight upward out of the package, making sure not to
touch the item on the edge of the wrapper.
ANS: True.
Rationale: A 1 inch edge around the inside perimeter of the package is considered
unsterile. If the item touches it, the item is considered contaminated.
31. All sharps must be discarded into a puncture-proof sharps bucket in the OR at the end
of the case.
ANS: True
32. Materials used for drapes and barriers should be strong, moisture resistant, and low
linting.
ANS: True
33. The patient’s room number is an acceptable patient identifier.
ANS: False
Rationale: Patients can be moved to a different room during their stay for a number of
reasons; therefore, rooms numbers should never be relied upon to identify the patient.